怀孕中的有毒表皮解:一个案例报告
Anisha Choudhary1, Murari Bharadwaj2, Archana Barik1
1Obstetrics and Gynecology, Tata Main Hospital, Jamshedpur, IND.
Cureus
|February 16, 2026
概括
严重的药物不良反应,如史蒂文斯-约翰逊综合征 (SJS) 和有毒表皮解体 (TEN),在怀孕期间是罕见的. 这个案例显示了草药的TEN,强调了对母亲和胎儿的迅速识别和多学科护理的需要.
科学领域:
- 皮肤病学 皮肤病学
- 毒理学 毒理学 毒理学
- 产科 产科 产科 产科 产科
背景情况:
- 史蒂文斯-约翰逊综合征 (SJS) 和有毒表皮解体 (TEN) 是严重的,罕见的粘膜皮肤药物不良反应,患病率和死亡率高.
- 怀孕对诊断和管理SJS/TEN提出了独特的挑战,给母亲和胎儿带来了风险.
研究的目的:
- 在怀孕的患者中报告有毒表皮解 (TEN) 病例.
- 讨论怀孕期间TEN的诊断和管理挑战.
- 强调与草药药物相关的潜在风险.
主要方法:
- 一份病例报告显示,一名25岁的女性在怀孕29周初怀孕,并出现广泛的皮肤喷发.
- 基于临床特征,表皮脱落程度和与食用草药药物的时间关联来诊断TEN.
- 多学科管理包括全身性皮质类固醇,支持性护理和个性化产科管理.
主要成果:
- 患者在服用非处方药草药后被诊断出TEN.
- 她通过自发的早产通过阴道分娩了一个男性新生儿.
- 母亲和新生儿都经历了良好的结果,随着逐渐的临床改善和完全的再上皮质化.
结论:
- 在怀孕期间早期临床识别TEN至关重要.
- 草药和替代药物可以导致严重的皮肤不良反应.
- 迅速撤出侵权剂,多学科护理和量身定制的产科管理对于最佳的孕产妇和胎儿结果至关重要.
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